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Medical Secretary
Survey of Primary Care Physicians on Oral Health
OMB: 0990-0403
IC ID: 203028
OMB.report
HHS/HHSDM
OMB 0990-0403
ICR 201207-0990-003
IC 203028
( )
Documents and Forms
Document Name
Document Type
0990-Oral Health_Attachment 7 Telephone Screener.docx
Other-screener
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Medical Secretary
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-screener
0990-Oral Health_Attachment 7 Telephone Screener.docx
No
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,300
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,300
0
1,300
0
0
0
Annual IC Time Burden (Hours)
108
0
108
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
